Active NPI
Ijaconsultants PLLC
- Internal Medicine Physician
- South Miami, FL
National Provider Identifier
1003150053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME44376
- Legal business name
- IJACONSULTANTS PLLC
- Practice address
- 6140 SW 70TH St
Second Floor
South Miami, FL 33143-3419 - Phone
- (954) 476-7933
- NPI assigned
- Nov 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ira Joel Agatstein, M.D.
- Title
- Ceo
- Phone
- (954) 648-4148
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME44376 | FL | Primary |
Addresses
Primary practice location
6140 SW 70TH St
Second Floor
South Miami, FL 33143-3419
Mailing address
6140 SW 70TH St
Second Floor
South Miami, FL 33143-3419
Phone (954) 476-7933
National Provider Directory
National Provider DirectoryLocations
6140 SW 70th St
#2
South Miami, FL 33143
Phone (305) 284-7577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354233600000",
"number": "1003150053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6140 SW 70TH ST",
"address_2": "SECOND FLOOR",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331433419",
"telephone_number": "954-476-7933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6140 SW 70TH ST",
"address_2": "SECOND FLOOR",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331433419",
"telephone_number": "954-476-7933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IJACONSULTANTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-30",
"status": "A",
"authorized_official_last_name": "AGATSTEIN",
"authorized_official_first_name": "IRA",
"authorized_official_middle_name": "JOEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "954-648-4148",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME44376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.